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Updated: Dec 17, 2025

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
Management of acute extensive portal vein thrombosis: the complexity and morbidity
Andy Ze Lin Chen1, Matthew George Roy Allaway2, Rafid Al-Asady3
1Department of Surgery, Westmead Hospital, Westmead, New South Wales, Australia andy.chen@health.nsw.gov.au.
Abstract:
A 62-year-old patient was admitted with an acute unprovoked portal vein thrombosis with splenic and mesenteric extension. His progress was complicated by progressive small bowel ischaemia and increasing clot burden despite systemic anticoagulation. This case report describes the use of catheter-directed thrombolysis via a transjugular intrahepatic portosystemic shunt, with the disease and its treatment complicated by a ruptured iatrogenic pseudoaneurysm, abdominal compartment syndrome and small bowel infarction necessitating extensive small bowel resection.
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